Health Underwriter jobs in Santa Maria, CA

CA Salary Range: $90,347 - $140,037 per year

Hybrid Schedule Requirements: a minimum of 3 days per week for attendance at community and county meetings.

• Attendance is contingent on the community and county meeting schedule and may occasionally require more than 3 days per week.
• Meetings may extend beyond 5:00 p.m.
• Meetings may be scheduled in either Santa Barbara or San Luis Obispo County.

Duties and Responsibilities

• Facilitate and assist members with accessing mental health care through care coordination and education.
• Care coordinate for regional center members who are identified as needing BHT services.
• Fulfill the Regional Center liaison responsibilities as outlined in the MOU.
• Provide crisis support to members and BH staff.
• Serve as a clinical consultant to Mental Health Providers on case consultations related to member care, mental health benefit, and county referral process.
• Create department, provider, community trainings in collaboration with Department Leadership and Provider Services.
• Facilitate and participate in interdisciplinary care team meetings.
• Adhere to Health plan policies and procedures, HIPAA, privacy and confidentiality laws and regulatory standards.
• Effectively communicate (verbally & in writing) and educate members/providers/vendors about the health care delivery system and health plan benefits and carve out benefits related to behavioral health services and substance use services.
• Empower members by providing community resources, educational materials, and self-managing tools.
• Establish relationships with the County Mental Health contacts and interface on any aspects as it relates to Member Care and compliance requirements.
• Collaborate with County Mental Health, contracted agencies, and community-based organizations to provide supportive services when needed and act as the CenCal Health liaison to both Counties.
• Review, follow and implement the Managed Care Plan Responsibilities as outlined in the County MOU’s.
• Maintain and tracks accurate data, maintains up to date departmental grids/dashboards as required.
• Facilitate and/or attend assigned community meetings that may include County Department of Behavioral Health, FQHC’s, Community Health Clinic, Regional Center to support member access to care and evaluate the current delivery system.
• Effectively communicate verbally and in writing with primary care providers and other health care providers involved in the care of the member.
• Utilize Solution Oriented approaches in communication with providers, stakeholders, and members as part of ongoing quality monitoring and embracing innovative care strategies that build value-based programs.
• Analyze date, prepare for audits, represent department in audits.
• Be abreast clinical knowledge related to mental health, developmental disabilities,
• Provide timely and detailed reports/briefings to supervisor as assigned.
• Other duties as assigned.

Education and Experience

• Master’s Level license or registered AMFT, ASW, APCC.
• 2 years’ experience with case management, care coordination including suicide assessment and screening.
• 1-2 years post graduate experience working with Medi-Cal population and/or County Department of Behavioral Health.

Job Type: Full-time

Pay: $90,347.00 - $140,037.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Do you have County Mental Health Experience?
• Are you open to travel throughout SLO and Santa Barbara Counties to attend meetings as necessary?

License/Certification:

• LCSW, LMFT, LPCC, ACSW, AMFT or Psychologist License in CA (Required)

Ability to Relocate:

• San Luis Obispo, CA 93401: Relocate before starting work (Required)

Willingness to travel:

• 50% (Preferred)

Work Location: Hybrid remote in San Luis Obispo, CA 93401